Howell Wrestling Club AWS
2017-2018 Registration NOVEMBER 15, 2017 • 6:30pm - 8pm You can also register on-line at www.HammontonWrestling.org Hammonton High School – Wrestling Room (Gym C) The program is open to children K through 8th grade. Tots (Born 2011/2012), Bantams (Born 2009/2010), Midgets (Born 2007/2008) are eligible to compete in league matches.
Registration Fee (includes t-shirt):
$50 per child
Headgear (required for practice and matches): $30____ (check if you would like HWC to purchase) If you have a headgear or would like to purchase on your own you may. Must be black or royal blue. Singlet (required for matches): $30____ (check if you would like HWC to purchase) If you have a singlet or would like to purchase on your own you may. Must be black or royal blue. YOU MUST GO TO www.usawmembership.com TO PURCHASE A USA WRESTLING CARD AND PRESENT THAT CARD PRIOR TO THE FIRST PRACTICE or The HAMMONTON WRESTLING CLUB CAN PURCHASE IT FOR YOU. Cost is $45____ (check if you would like HWC to purchase)
No Refunds for any reason Name:__________________________________________________________________________
Birth Date: ___________________
Address:_________________________________________________________________ City: _______________________ Grade:__________
Age ________
Approx. Weight: _________
School: ___________________________________ Cell (we will be sending text messages to you)_________________________________
Parent’s and/or Guardian’s Names: __________________________________________________________________________________________________ Email:_________________________________________________________ Experience Level (yrs.): _____________ Please indicate child’s shirt size (circle one):
YS
YM
YL
AS
AM
AL
XL
XXL
WAIVER OF LIABILITY
I _________________________(Parent or Guardian), hereby give permission for ___________________________ (Child's Name) to participate in wrestling activities with the Hammonton Wrestling Club. In doing so, I fully understand that I will not hold the authorized coaches, club officers and representatives, or the Hammonton Wrestling Club liable for any injury or illness occurring while ___________________________ (Child's Name) is participating in or going to or from any and all activities of the Hammonton Wrestling Club. We always need volunteers. Please check what you would like to do. Thank you!
______________________________________ Signature of Parent or Guardian Date
________________
__Coach __Concessions
__Set-Up for Meets __Meet Operations
EMERGENCY TREATMENT RELEASE As a parent and/or guardian of ____________________ a minor, I herewith authorize the treatment by a qualified and licensed medical doctor in the event of a medical emergency which, in the opinion of the attending physician, may endanger his life, cause disfigurement, physical impairment or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me. Name of Parent/Guardian: ___________________________________________________________________ Address: ____________________________________________ Cell: __________________________ This release is granted is for the 2017/2018 wrestling season Specific medical allergies, chronic illness or other medical conditions staff should be aware of: ___________________________________________________________________________________________________________________ Other contact in case of emergency: Name _______________________________________________________ Relationship ________________________________________________ Phone________________________ This release form is completed and signed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances in my absence.
Signature ______________________________________ Parent and/or Guardian
Date _________________
Reserved for administrative purposes: Collected By:___________________________Check #:____________________or Cash:_______
www.HammontonWrestling.org
Registration Fee (includes t-shirt):
$50 per child
Headgear (required for practice and matches): $30____ (check if you would like HWC to purchase) If you have a headgear or would like to purchase on your own you may. Must be black or royal blue. Singlet (required for matches): $30____ (check if you would like HWC to purchase) If you have a singlet or would like to purchase on your own you may. Must be black or royal blue. YOU MUST GO TO www.usawmembership.com TO PURCHASE A USA WRESTLING CARD AND PRESENT THAT CARD PRIOR TO THE FIRST PRACTICE or The HAMMONTON WRESTLING CLUB CAN PURCHASE IT FOR YOU. Cost is $45____ (check if you would like HWC to purchase)
No Refunds for any reason Name:__________________________________________________________________________
Birth Date: ___________________
Address:_________________________________________________________________ City: _______________________ Grade:__________
Age ________
Approx. Weight: _________
School: ___________________________________ Cell (we will be sending text messages to you)_________________________________
Parent’s and/or Guardian’s Names: __________________________________________________________________________________________________ Email:_________________________________________________________ Experience Level (yrs.): _____________ Please indicate child’s shirt size (circle one):
YS
YM
YL
AS
AM
AL
XL
XXL
WAIVER OF LIABILITY
I _________________________(Parent or Guardian), hereby give permission for ___________________________ (Child's Name) to participate in wrestling activities with the Hammonton Wrestling Club. In doing so, I fully understand that I will not hold the authorized coaches, club officers and representatives, or the Hammonton Wrestling Club liable for any injury or illness occurring while ___________________________ (Child's Name) is participating in or going to or from any and all activities of the Hammonton Wrestling Club. We always need volunteers. Please check what you would like to do. Thank you!
______________________________________ Signature of Parent or Guardian Date
________________
__Coach __Concessions
__Set-Up for Meets __Meet Operations
EMERGENCY TREATMENT RELEASE As a parent and/or guardian of ____________________ a minor, I herewith authorize the treatment by a qualified and licensed medical doctor in the event of a medical emergency which, in the opinion of the attending physician, may endanger his life, cause disfigurement, physical impairment or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me. Name of Parent/Guardian: ___________________________________________________________________ Address: ____________________________________________ Cell: __________________________ This release is granted is for the 2017/2018 wrestling season Specific medical allergies, chronic illness or other medical conditions staff should be aware of: ___________________________________________________________________________________________________________________ Other contact in case of emergency: Name _______________________________________________________ Relationship ________________________________________________ Phone________________________ This release form is completed and signed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances in my absence.
Signature ______________________________________ Parent and/or Guardian
Date _________________
Reserved for administrative purposes: Collected By:___________________________Check #:____________________or Cash:_______
www.HammontonWrestling.org
